Most Relevant Information
Provider Data
| NPI Number: | 1003407867 |
| Provider Name: | AUDREY COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/03/2021 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
225 W CHURCH AVE
REED CITY
MI
496771264
Practice Location Phone/Fax
| Phone: | 2317917435 |
| Fax: | 2318326184 |
Provider Mailing Location
520 COBB ST
CADILLAC
MI
496012588
Provider Mailing Phone/Fax
| Phone: | 2318766527 |
| Fax: | 2318766519 |